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HCA Auction
Donate An Item
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Donation Form

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Notes:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

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This Item is a gift certificate:

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This item is is Tangible Item (gift basket, art, etc.):

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No

The Gift Certificate or Item will be delivered to the school.:

Yes

No

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Mobile Phone:*

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Email:*

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